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1376747113
JEFFREY BLAIR STAACK
KNOXVILLE, TN
NPI
1376747113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: TN 44686)
Enumeration Date
2007-06-14
Last Update Date
2009-08-25
Business Address
-- JEFFREY BLAIR STAACK M.D.
341 TRANE DR
KNOXVILLE, TN 37919-6053
Phone number: 865-588-0880
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Mailing Address
-- JEFFREY BLAIR STAACK M.D.
5513 DOGWOOD RD
KNOXVILLE, TN 37918-4221
Phone number: 865-689-2278
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